Estimation Of Vital Signs Research Articles

A Real-Time Beam Steering and Accurate Vital Sign Estimation Method in an Indoor Environment

A Real-Time Beam Steering and Accurate Vital Sign Estimation Method in an Indoor Environment

RETRACTED ARTICLE: Estimation of human vital signs and analysis of heart attack risk using EDENN

We, the Editors and Publisher of the International Journal of Healthcare Management, have retracted the following article: Priyanka Bibay Thakkar & R. H. Talwekar (30 Dec 2022): Estimation of human vital signs and analysis of heart attack risk using EDENN, International Journal of Healthcare Management, DOI: 10.1080/20479700.2022.2161150 Since publication, significant concerns have been raised about the integrity of the data and reported results in the article. When approached for an explanation, the authors did not provide their original data or any necessary supporting information. As verifying the validity of published work is core to the integrity of the scholarly record, we are therefore retracting the article. The corresponding author listed in this publication has been informed. We have been informed in our decision-making by our policy on publishing ethics and integrity and the COPE guidelines on retractions. The retracted article will remain online to maintain the scholarly record, but it will be digitally watermarked on each page as ‘Retracted’.

Statement of Retraction: Estimation of human vital signs and analysis of heart attack risk using EDENN

Statement of Retraction: Estimation of human vital signs and analysis of heart attack risk using EDENN

Contactless and short‐range vital signs detection with doppler radar millimetre‐wave (76–81 GHz) sensing firmware

AbstractVital signs such as heart rate (HR) and respiration rate (RR) are essential physiological parameters that are routinely used to monitor human health and bodily functions. They can be continuously monitored through contact or contactless measurements performed in the home or a hospital. In this study, a contactless Doppler radar W‐band sensing system was used for short‐range, contactless vital sign estimation. Frequency‐modulated continuous wave (FMCW) measurements were performed to reduce the influence of a patient's micromotion. Sensing software was developed that can process the received chirps to filter and extract heartbeat and breathing rhythm signals. The proposed contactless sensing system eliminates the need for the contact electrodes, electric patches, photoelectric sensors, and conductive wires used in typical physiological sensing methods. The system operates at 76–81 GHz in FMCW mode and can detect objects on the basis of changes in frequency and phase. The obtained signals are used to precisely monitor a patient's HR and RR with minimal noise interference. In a laboratory setting, the heartbeats and breathing rhythm signals of healthy young participants were measured, and their HR and RR were estimated through frequency‐ and time‐domain analyses. The experimental results confirmed the feasibility of the proposed W‐band mm‐wave radar for contactless and short‐range continuous detection of human vital signs.

Vital signs estimation in elderly using camera-based photoplethysmography

In the context of Ambient Assisted Living, the demand for healthcare technologies development has been increased in the last two years by the current global health situation. The contagious nature of COVID-19 warrants inevitability to the thought of easing a continuous measurement of vital signs such as Heart Rate, Breath Rate, and SpO2 in a non-invasive manner, contributing of fundamental importance in the assessment of health status especially among frail and/or elderly individuals. A widely diffused method for contactless vital signs monitoring is remote photoplethysmography from facial video streams that, contrary to traditional contact measurement techniques, allows the measurement of vital parameters without the need for wearable sensors (generally considered uncomfortable, especially by the elderly), even with commercial and low-cost digital cameras. This paper proposes the design and implementation of a new pipeline for estimating Heart Rate, Breath Rate, and SpO2 values, and its integration on Raspberry Pi 4 as an elaboration unit. The pipeline provides specific algorithmic blocks to improve vital signs estimation in elderly subjects as it is made more difficult by the skin tone and the presence on the face of wrinkles, folds, and moles. Quantitative evaluations on our dataset containing the acquisition of only elderly older than 65 years of age demonstrate the validity of the proposed pipeline. For validation against the state of the art, tests were also conducted on three standard benchmark datasets containing video with subjects of varying ages. Again, the pipeline proved to be robust concerning the estimation of vital signs considered in the present work.

Continuous Patient-Independent Estimation of Respiratory Rate and Blood Pressure Using Robust Spectro-Temporal Features Derived From Photoplethysmogram Only.

Objective: A patient-independent approach for continuous estimation of vital signs using robust spectro-temporal features derived from only photoplethysmogram (PPG) signal. Methods: In the pre-processing stage, we remove baseline shifts and artifacts of the PPG signal using Incremental Merge Segmentation with adaptive thresholding. From the cleaned PPG, we extract multiple parameters independent of individual patient PPG morphology for both Respiration Rate (RR) and Blood Pressure (BP). In addition, we derived a set of novel spectral and statistical features strongly correlated to BP. We proposed robust correlation-based feature selection methods for accurate RR estimates. For fewer computations and accurate measurements of BP, the most significant features are selected using correlation and mutual information measures in the feature engineering part. Finally, RR and BP are estimated using breath counting and a neural network regression model, respectively. Results: The proposed approach outperforms the current state-of-the-art in both RR and BP. The RR algorithm results in mean absolute errors (median, 25th-75th percentiles) of 0.4 (0.1-0.7) for CapnoBase dataset and 0.5(0.3-2.8) for BIDMC dataset without discarding any data window. Similarly, BP approach has been validated on a large dataset derived from MIMIC-II ([Formula: see text]1700 records) which has errors (mean absolute, standard deviation) of 5.0(6.3) and 3.0(4.0) for systolic and diastolic BP, respectively. The results meet the American Association for the Advancement of Medical Instrumentation (AAMI) and British Hypertension Society (BHS) Class A criteria. Conclusion: By using robust features and feature selection methods, we alleviated patient dependency to have reliable estimates of vitals.

Analysis of Spectral Estimation Algorithms for Accurate Heart Rate and Respiration Rate Estimation Using an Ultra-Wideband Radar Sensor.

Non-contact vital sign monitoring has been an important research topic recently due to the ability to monitor patients for an extended period especially during sleep without requiring uncomfortable attachments. Radar is a popular sensor for vital sign monitoring research. Various algorithms have been proposed for estimating respiration rate and heart rate from the radar data. But many algorithms rely on Fast Fourier Transform (FFT) to convert time domain signal to the frequency domain and estimate vital signs, despite FFT having limitation of frequency resolution being inverse of the time interval of data sample. However, there are other spectral estimation algorithms, which have not been much researched into the suitability of vital sign estimation using radar signals. In this paper, we compared eight different types of spectral estimation algorithms, including FFT, for respiration rate and heart rate estimation of stationary subjects in a controlled environment. The evaluation is based on extensive data consisting of different stationary subject positions. Considering the results, the eligibility of algorithms other than FFT for respiration rate and heart rate estimation is demonstrated. Using this work, researchers can get an overview on which algorithm is suitable for their work without the need to review individual algorithms separately.

Multi-target vital signs estimation based on millimeter wave radar in complex scenes

Multi-target vital signs estimation based on millimeter wave radar in complex scenes

Estimation of vital signs from facial videos via video magnification and deep learning

The continuous monitoring of vital signs is one of the hottest topics in healthcare. Recent technological advances in sensors, signal processing, and image processing spawned the development of no-contact techniques such as remote photoplethysmography (rPPG). To solve the common problems of rPPG including weak extracted signals, body movements, and generalization with limited data resources, we proposed a dual-path estimation method based on video magnification and deep learning. First, image processes are applied to detect, track, and magnificate facial ROIs automatically. Then, the steady part of the wave of each processed ROI is used for the extraction of features including heart rate, PTT, and features of pulse wave waveform. The blood pressures are estimated from the features via a small CNN. Results comply with the current standard and promise potential clinical applications in the future.

Neonatal Face and Facial Landmark Detection from Video Recordings.

This paper explores automated face and facial landmark detection of neonates, which is an important first step in many video-based neonatal health applications, such as vital sign estimation, pain assessment, sleep-wake classification, and jaundice detection. Utilising three publicly available datasets of neonates in the clinical environment, 366 images (258 subjects) and 89 (66 subjects) were annotated for training and testing, respectively. Transfer learning was applied to two YOLO-based models, with input training images augmented with random horizontal flipping, photo-metric colour distortion, translation and scaling during each training epoch. Additionally, the re-orientation of input images and fusion of trained deep learning models was explored. Our proposed model based on YOLOv7Face outperformed existing methods with a mean average precision of 84.8% for face detection, and a normalised mean error of 0.072 for facial landmark detection. Overall, this will assist in the development of fully automated neonatal health assessment algorithms.Clinical relevance- Accurate face and facial landmark detection provides an automated and non-contact option to assist in video-based neonatal health applications.

Remote Estimation of Peripheral Oxygen Saturation and Pulse Rate From Facial Analysis Using a Smartphone Camera.

Vital sign monitoring is an invaluable tool for healthcare professionals, both in the hospital and at home. Traditional measurement devices provide accurate readings but require physical contact with the patient which often is unsuitable, furthermore contact-based devices have been reported to fail by loosing contact due to movement as severe events occur, therefore, a contactless method is necessary.We hypothesize that, in ideal scenarios, it is possible to estimate both SpO2 and pulse rate using only facial video recorded with a smartphone's front-facing camera. To test this hypothesis, a dataset of 10 healthy subjects performing various breathing patterns while being recorded with a smartphone camera was collected during ideal lighting conditions.Using advanced image and signal processing methods to acquire remote photoplethysmography (rPPG) estimates from a patient's forehead, our proposed method can achieve SpO2 estimation results with Arms = 1.34% (accuracy RMS) and MAE ± STD = 1.26 ± 0.68% (mean average error) across a SpO2 range of 92% to 99% (percentage point SpO2) and pulse rate estimation results with Arms = 3.91 bpm (beats per minute) and MAE ± STD = 3.24±2.11 bpm across a pulse rate range of 60 bpm to 90 bpm. We conclude from these results, that remote vital sign estimation using facial videos recorded entirely with a smartphone camera is possible.

Noisy Neonatal Chest Sound Separation for High-Quality Heart and Lung Sounds.

Stethoscope-recorded chest sounds provide the opportunity for remote cardio-respiratory health monitoring of neonates. However, reliable monitoring requires high-quality heart and lung sounds. This paper presents novel artificial intelligence-based Non-negative Matrix Factorisation (NMF) and Non-negative Matrix Co-Factorisation (NMCF) methods for neonatal chest sound separation. To assess these methods and compare them with existing single-channel separation methods, an artificial mixture dataset was generated comprising heart, lung, and noise sounds. Signal-to-noise ratios were then calculated for these artificial mixtures. These methods were also tested on real-world noisy neonatal chest sounds and assessed based on vital sign estimation error, and a signal quality score of 1-5, developed in our previous works. Overall, both the proposed NMF and NMCF methods outperform the next best existing method by 2.7dB to 11.6dB for the artificial dataset, and 0.40 to 1.12 signal quality improvement for the real-world dataset. The median processing time for the sound separation of a 10s recording was found to be 28.3s for NMCF and 342ms for NMF. With the stable and robust performance of our proposed methods, we believe these methods are useful to denoise neonatal heart and lung sounds in the real-world environment. Codes for proposed and existing methods can be found at: https://github.com/egrooby-monash/Heart-and-Lung-Sound-Separation.

Deep face segmentation for improved heart and respiratory rate estimation from videos

The selection of a suitable region of interest (ROI) is of great importance in camera-based vital signs estimation, as it represents the first step in the processing pipeline. Since all further processing relies on the quality of the signal extracted from the ROI, the tracking of this area is decisive for the performance of the overall algorithm. To overcome the limitations of classical approaches for the ROI, such as partial occlusions or illumination variations, a custom neural network for pixel-precise face segmentation called FaSeNet was developed. It achieves better segmentation results on two datasets compared to state-of-the-art architectures while maintaining high execution efficiency. Furthermore, the Matthews Correlation Coefficient was proposed as a loss function providing a better fitting of the network weights than commonly applied losses in the field of multi-class segmentation. In an extensive evaluation with a variety of algorithms for vital signs estimation, our FaSeNet was able to achieve better results in both heart and respiratory rate estimation. Thus, a ROI for vital signs estimation could be created that is superior to other approaches.

Machine Learning-Based Joint Vital Signs and Occupancy Detection With IR-UWB Sensor

This article proposes the machine learning (ML)-based joint vital signs (VSs) and occupancy detection (OD) with an impulse radio ultra-wideband (IR-UWB) sensor. Works that have been done on VS or OD development using an IR-UWB are related to how VS works. In the related experiments performed, the OD and state of individuals were not sufficiently verified, and the methods were computationally complex. Issues related to the use of ML for joint VS and OD (VSOD) have also not been studied in the literature. Extensive experimental scenarios involving the application of an ML-based classifier for human OD and VS classification, which we extended toward three sub-scenarios, were evaluated. We formulated a solution for VS estimation, which was aligned, so that each network input sequence received signal corresponding to respective VS over different scenarios. The performance of the proposal was evaluated with other competing ML-based classification algorithms. Compared with other techniques, our proposed deep neural network (DNN)-based classifier achieved the best results, and it also offers benefits over other algorithms, such as not needing to extract features from the data.

Radar-Based Monitoring of Vital Signs: A Tutorial Overview

In the last years, substantial attention has been paid to the use of radar systems in health monitoring, due to the availability of both low-cost radar devices and computationally efficient algorithms for processing their measurements. In this article, a tutorial overview of radar-based monitoring of vital signs is provided. More specifically, we first focus on the available radar technologies and the signal processing algorithms developed for the estimation of vital signs. Then, we provide some useful guidelines that should be followed in the selection of radar devices for vital sign monitoring and in their use. Finally, we illustrate various specific applications of radar systems to health monitoring and some relevant research trends in this field.

Heart rate measurement method based on wavelet transform noise reduction for low power millimeter wave radar platform

In recent years, non-contact vital sign estimation using millimeter wave radar technology has gotten much attention. Most studies are based on radar platforms that were not built for home scenarios and had high transmitting power and colossal volume. This work employs a low-power millimeter wave radar system produced using Antenna in Package technology (AiP) with a transmit power of less than 6 dBm, significantly lower than that commonly utilized in related research. However, in application scenarios, the echo intensity cannot be maintained at an optimal level with these low-power devices, making accurate and reliable monitoring difficult to obtain. To further reduce the noise component and improve the signal-to-noise ratio, a heartbeat monitoring algorithm based on wavelet transform noise reduction is suggested in this study. The low-frequency terms of the wavelet transform of the chest wall micro-motion signal are interpreted as body random swinging and breathing, and the remaining terms are interpreted as the heartbeat signal. In a 20-minute monitoring experiment, 96.96% accuracy is reached by the method proposed in this study in the context of home scenario monitoring.

LSTM-based real-time signal quality assessment for blood volume pulse analysis.

Remote photoplethysmogram (rPPG) is a low-cost method to extract blood volume pulse (BVP). Some crucial vital signs, such as heart rate (HR) and respiratory rate (RR) etc. can be achieved from BVP for clinical medicine and healthcare application. As compared to the conventional PPG methods, rPPG is more promising because of its non-contacted measurement. However, both BVP detection methods, especially rPPG, are susceptible to motion and illumination artifacts, which lead to inaccurate estimation of vital signs. Signal quality assessment (SQA) is a method to measure the quality of BVP signals and ensure the credibility of estimated physiological parameters. But the existing SQA methods are not suitable for real-time processing. In this paper, we proposed an end-to-end BVP signal quality evaluation method based on a long short-term memory network (LSTM-SQA). Two LSTM-SQA models were trained using the BVP signals obtained with PPG and rPPG techniques so that the quality of BVP signals derived from these two methods can be evaluated, respectively. As there is no publicly available rPPG dataset with quality annotations, we designed a training sample generation method with blind source separation, by which two kinds of training datasets respective to PPG and rPPG were built. Each dataset consists of 38400 high and low-quality BVP segments. The achieved models were verified on three public datasets (IIP-HCI dataset, UBFC-Phys dataset, and LGI-PPGI dataset). The experimental results show that the proposed LSTM-SQA models can effectively predict the quality of the BVP signal in real-time.

Unobtrusive occupancy and vital signs sensing for human building interactive systems

Cognitive buildings use data on how occupants respond to the built environment to proactively make occupant-centric adjustments to lighting, temperature, ventilation, and other environmental parameters. However, sensors that unobtrusively and ubiquitously measure occupant responses are lacking. Here we show that Doppler-radar based sensors, which can sense small physiological motions, provide accurate occupancy detection and estimation of vital signs in challenging, realistic circumstances. Occupancy was differentiated from an empty room over 93% of the time in a 3.4 m × 8.5 m conference room with a single sensor in both wall and ceiling-mounted configurations. Occupancy was successfully detected while an occupant was under the table, visibly blocked from the sensor, a scenario where infrared, ultrasound, and video-based occupancy sensors would fail. Heart and respiratory rates were detected in all seats in the conference room with a single ceiling-mounted sensor. The occupancy sensor can be used to control HVAC and lighting with a short, 1–2 min delay and to provide information for space utilization optimization. Heart and respiratory rate sensing could provide additional feedback to future human-building interactive systems that use vital signs to determine how occupant comfort and wellness is changing with time.

Few-Shot User-Adaptable Radar-Based Breath Signal Sensing.

Vital signs estimation provides valuable information about an individual's overall health status. Gathering such information usually requires wearable devices or privacy-invasive settings. In this work, we propose a radar-based user-adaptable solution for respiratory signal prediction while sitting at an office desk. Such an approach leads to a contact-free, privacy-friendly, and easily adaptable system with little reference training data. Data from 24 subjects are preprocessed to extract respiration information using a 60 GHz frequency-modulated continuous wave radar. With few training examples, episodic optimization-based learning allows for generalization to new individuals. Episodically, a convolutional variational autoencoder learns how to map the processed radar data to a reference signal, generating a constrained latent space to the central respiration frequency. Moreover, autocorrelation over recorded radar data time assesses the information corruption due to subject motions. The model learning procedure and breathing prediction are adjusted by exploiting the motion corruption level. Thanks to the episodic acquired knowledge, the model requires an adaptation time of less than one and two seconds for one to five training examples, respectively. The suggested approach represents a novel, quickly adaptable, non-contact alternative for office settings with little user motion.

움직이는 사람에 대한 비접촉식 생체신호추정 연구

The non-contact vital sign estimation of an individual using radar sensors has been widely researched. However, in the case of an individual with undesirable rigid-body motion of the torso, non-contact vital sign estimation may fail owing to extreme phase fluctuations caused by the larger rigid-body motion of the torso than the micro motion of the vital sign. To address this problem, we propose a rigid-body motion compensation method using the complex echo signals of the IR-UWB radar for the vital sign estimation of an individual with rigid-body motion. The proposed method extracts a complex signal vector using principal component analysis from complex echo signals in a radial range and pulse time domain. Next, compensation for the rigid-body motion is implemented by minimizing the entropy of the spectrum for the complex signal vector. In simulations using a point-scatterer model and experiments using IR-UWB commercial radar, we verified that our proposed method is capable of performing successful vital sign estimation of an individual with undesirable rigid-body motion.